The Very Dental Podcast Network

Latest Episodes:

AME: Confidence vs. Competence with Dr. Wade Pilling Feb 03, 2025

Show notes

Alan is joined by Dr. Wade Pilling to talk about the dilemma he often faces as an educator.

"Am I just teaching someone to hurt them (patients)?" --Dr. Wade Pilling

The solution to this problem involves excellent education, quality reps and mentorship. Wade and Alan have a really good conversation about some of the concerns that are coming along with the brave new world of full arch implants, DSOs and "sales bros."

Some links from the show:

Join the Very Dental Facebook group using the password "Timmerman," Hornbrook" or "McWethy," "Papa Randy" or "Lipscomb!"

The Very Dental Podcast network is and will remain free to download. If you'd like to support the shows you love at Very Dental then show a little love to the people that support us!

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CAD-Ray offers the best service on a wide variety of digital scanners, printers, mills and even their very own browser based design software, Clinux! CAD-Ray has been a huge supporter of the Very Dental Podcast Network and I can tell you that you'll get no better service on everything digital dentistry than the folks from CAD-Ray. Go check them out at verydentalpodcast.com/CADRay!

Very Dental: The Full Arch Dilemma with Dr. Wade Pilling Jan 31, 2025

Show notes

It today's episode, Alan has a conversation with Dr. Wade Pilling. Wade is a "big case" guy and a renowned expert in full arch dentistry. Dr. Pilling shares his insights on the importance of mentorship, the changing landscape of dentistry, and the ethical considerations surrounding full arch implant treatment. He also discusses his own journey in dentistry and offers advice to new dentists navigating the complexities of today's dental world. Tune in for a thought-provoking conversation about the future of dentistry and the importance of prioritizing patient care above all else.

Some links from the show:

Key Takeaways

The Importance of Mentorship: Dr. Pilling emphasizes the crucial role of mentorship in achieving clinical excellence in dentistry, especially for complex procedures like full arch implants. He believes that mentorship fosters a commitment to quality and patient care over financial incentives.
The Changing Landscape of Dentistry: Dr. Pilling discusses the challenges faced by new dentists due to high student debt and the increasing prevalence of DSOs. He expresses concern that the focus on money can lead to overtreatment and poor patient outcomes.
The Full Arch Challenge: Dr. Pilling cautions against new dentists jumping into full arch implant cases too early in their careers. He stresses the importance of proper diagnosis, treatment planning, and informed consent, especially when it comes to procedures that involve irreversible bone loss.
The Value of Experience and Continuing Education: Dr. Pilling shares his own journey of cobbling together training from various sources to become proficient in full arch dentistry. He highlights the need for ongoing learning and collaboration with experienced clinicians.
The Future of Dental Education: Dr. Pilling suggests a shift towards a more apprenticeship-based model for dental education, where students gain more clinical experience under the guidance of mentors.
Ethical Considerations: Dr. Pilling raises concerns about the marketing practices of some DSOs and the lack of accountability for patient outcomes. He advocates for a patient-centric approach to dentistry, where clinical excellence and informed consent are prioritized.

Join the Very Dental Facebook group using the password "Timmerman," Hornbrook" or "McWethy," "Papa Randy" or "Lipscomb!"

The Very Dental Podcast network is and will remain free to download. If you'd like to support the shows you love at Very Dental then show a little love to the people that support us!

Very Clinical: Talking Invisalign Jan 28, 2025

Show notes

In this throwback episode Kevin and Zach discuss the importance of communication and managing patient expectations throughout the Invisalign process, from initial consultation to final results.

Key Takeaways:

Verbal skills are crucial: Effectively communicating with patients about the Invisalign process, including attachments, IPR ("slenderizing"), and potential refinements, is key to ensuring satisfaction.
Manage expectations early: Clearly explain the process, including potential discomfort, dietary changes, and the need for retainers, to avoid surprises and disappointment later.
Address objections proactively: Have answers prepared for common concerns like the appearance of attachments, the need for IPR, and the duration of treatment.
Use visual aids: Models, photos, or videos can help patients understand the process and visualize the expected outcomes.
Don't fight the "mostly satisfied": If an adult patient is happy with their results, even if not perfect, respect their decision and avoid pushing for further refinements.
Be prepared for the "never satisfied": Some patients may have unrealistic expectations or hyper-focus on minor imperfections. Patience, clear communication, and gentle guidance are essential.
Address noncompliance: Reiterate the importance of wearing aligners as prescribed and address non-compliance directly, but ultimately, patients are responsible for their own choices.
Invest in a good Invisalign manager: A dedicated team member can handle patient communication, manage expectations, and provide support throughout the process.
Remember the positive: While negative experiences tend to be more memorable, the majority of Invisalign patients are satisfied with their results.

Very Clinical is brought to you by Zirc Dental Products, Inc., your trusted partner in dental efficiency and organization.

The Very Clinical Corner segment features Kate Reinert, LDA, an experienced dental professional passionate about helping practices achieve clinical excellence.

Connect with Kate Reinert on LinkedIn: Kate Reinert, LDA Book a call with Kate: Reserve a Call Ready to upscale your team? Explore Zirc's solutions today: zirc.com

Very Dental Student: How to Do a Root Canal with Zach and Kevin Jan 27, 2025

Show notes

In this episode of the Very Dental Student Podcast, Mo talks with Kevin and Zach to discuss endodontic procedures, comparing dental school protocols with real-world practices. They delve into a step-by-step walkthrough of an endo procedure on a premolar, highlighting key differences and offering valuable insights for dental students and new dentists.

Key Takeaways:

CBCT is Your Friend: While PAs and bitewings are helpful, a CBCT scan provides a 3D view of the canal system, acting as a "GPS" for navigation. This is especially crucial for molars and complex premolars.
Begin with the End in Mind: Always consider the final restoration (likely a crown). Take a pre-op impression before starting the endo to simplify temporary crown fabrication.
Quadrant Isolation: Isolate more than just the tooth being treated with your rubber dam. This provides better orientation and access for both endo and crown prep.
Flat Top that Tooth: Reduce the occlusion and flatten the tooth before accessing the canals. This improves visibility, access, and post-op comfort.
Lubricate Early and Often: Use RC Prep on your files before entering the canals to prevent pushing debris apically and to aid in lubrication and chelation.
Hypochlorite Timing: Introduce sodium hypochlorite after establishing working length to avoid pushing debris and potentially blocking the canal.
Secondary Rinses: Use EDTA or a similar product (like Smear Off) to remove the smear layer created by sodium hypochlorite before obturation.
Sealer Coating Technique: Coat the canal walls with sealer by running your files in reverse. This ensures a more thorough and even distribution.
Post-Op Comfort: Even if a crown is planned, taking the tooth out of occlusion can improve patient comfort and reduce post-op complications.
Posts - Controversial but Sometimes Necessary: While posts are less common today, they can be valuable in certain situations, particularly for premolars and anterior teeth.
Crown Prep Under Rubber Dam: While unconventional, prepping crowns under a rubber dam can be done effectively with practice and proper technique.

Join the Very Dental Facebook group using the password "Timmerman," Hornbrook" or "McWethy," "Papa Randy" or "Lipscomb!"

The Very Dental Podcast network is and will remain free to download. If you'd like to support the shows you love at Very Dental then show a little love to the people that support us!

Group Function: Addiction and the Dentist Jan 24, 2025

Show notes

"It won't happen to me."

--every addict before they realize they have a problem

This is an interesting episode. The folks over at the "Everyday Practices Podcast" invited Al to come on their podcast and talk about addiction. Dr. Chad Johnson, Dr. Maggie Augustyn and Regan Robertson join Al to talk about his history with addiction.

Reflections on Addiction:
- The prevalence of addiction, including process addictions like workaholism, shopping, and smartphone use.
- The importance of honesty and self-awareness in recovery.
- What is it like to live with withdrawal symptoms most days?
- The challenges of staying sober and the importance of support systems.
- Expressing gratitude for recovery and the opportunity to help others.
- Acknowledging the potential for transferring addiction to other behaviors (cycling, baking and podcasting for Al)
Key Takeaways:
- Addiction can affect anyone, regardless of profession or background.
- Recovery is possible with the right treatment and support.
- Honesty, self-awareness, and gratitude are crucial for long-term sobriety.
- It's important to seek help if you're struggling with addiction.

Some links from the show:

Join the Very Dental Facebook group using the password "Timmerman," Hornbrook" or "McWethy," "Papa Randy" or "Lipscomb!"

The Very Dental Podcast network is and will remain free to download. If you'd like to support the shows you love at Very Dental then show a little love to the people that support us!

Very Clinical: The Crossover Incident Jan 21, 2025

Show notes

Buckle up, buttercup, because this is NOT your average episode of Very Clinical! Back in March of 2020, when Dr. Mac Jones was still one of the hosts of the podcast, they guys did a crossover episode with the Working Interferences crew (Dr. Josh Austin and Dr. Lance Timmerman) It was a wild ride of dental advice, shenanigans, and more than a few "colorful" words.

Highlights:

Special Crossover Episode: Very Clinical meets Working Interferences for the first time ever!
The Great Pacifier Debate: A Reddit question about "adult pacifiers" sends the guys down a hilarious rabbit hole of questionable online communities and unexpected discoveries.
Crown Prep Hacks: Even with the chaos, we manage to squeeze in some valuable clinical tips for faster and more efficient crown preps.
Nostalgia Overload: Relive the glory days of 90s chat rooms (ICQ, anyone?), 80s TV crossovers, and the one true "One Shining Moment" by David Barrett.

Very Clinical is brought to you by Zirc Dental Products, Inc., your trusted partner in dental efficiency and organization.

The Very Clinical Corner segment features Kate Reinert, LDA, an experienced dental professional passionate about helping practices achieve clinical excellence.

Connect with Kate Reinert on LinkedIn: Kate Reinert, LDA Book a call with Kate: Reserve a Call Ready to upscale your team? Explore Zirc's solutions today: zirc.com

Very Dental Classics: Tell Me More, JLips Jan 20, 2025

Show notes

Al features and interview of his co-host of the Dental Hacks Podcast, Dr. Jason Lipscomb! First released on April 26, 2019 Al and JLips talk about dental school, boards, early career steps and a whole lot more.

Key Points:

The challenges and anxieties of dental school: the guys share their personal experiences with the demanding curriculum, preclinical lab work, and board exams. They discuss the pressure to succeed and the lack of mental health support available at the time.
The transition from dental school to practice: Jason recounts his early career experiences, including awkward interviews, temping as a hygienist, and ultimately stumbling into practice ownership. He highlights the importance of having a supportive team and mentors during this transition.
Reflections on practice ownership: Jason and Al discuss the challenges and rewards of owning a dental practice, including the importance of building a strong team, creating efficient systems, and finding personal satisfaction in clinical work.
Favorite and least favorite aspects of dentistry: The guys share their favorite and least favorite classes in dental school, as well as their ideal clinical days. They discuss the importance of finding a balance between productivity and personal enjoyment in dentistry.

Join the Very Dental Facebook group using the password "Timmerman," Hornbrook" or "McWethy," "Papa Randy" or "Lipscomb!"

Very Clinical: Very Football! Jan 17, 2025

Show notes

Kevin and Zach welcome guests Dr. Jacob Whipple and Dr. Alan Mead for a special episode dedicated to all things football! They analyze the upcoming games, offer score predictions, and even take a look at the smiles of some of the biggest names in the game.

Topics:

NFL Divisional Playoffs: In-depth discussion and predictions for the Chiefs vs. Texans and Lions vs. Washington games.
College Football National Championship: Ohio State vs. Notre Dame preview, analysis, and score predictions.
College Football Playoff Format: Debate on the new 12-team playoff system and potential improvements.

Some links from the show:

Very Clinical is brought to you by Zirc Dental Products, Inc., your trusted partner in dental efficiency and organization.

The Very Clinical Corner segment features Kate Reinert, LDA, an experienced dental professional passionate about helping practices achieve clinical excellence.

Connect with Kate Reinert on LinkedIn: Kate Reinert, LDA Book a call with Kate: Reserve a Call Ready to upscale your team? Explore Zirc's solutions today: zirc.com

Very Dental Classics: How Trauma Creates Dentists Jan 14, 2025

Show notes

Welcome to the very first episode of what I'm calling "Very Dental Classics!" In this inaugural episode, we delve into the archives and revisit a captivating Dental Hacks Podcast episode from September 2020. Join me along with my co-host Dr. Jason Lipscomb and guests Dr. Mark Costes, Dr. Brad Keener as they share their personal experiences of facial trauma and reconstruction.

This episode offers a unique perspective on dentistry, highlighting the patient experience and the impact it can have on one's life and career path. Mark and Brad recount their accidents, the subsequent treatments and how these events shaped their outlook on dentistry.

Key Takeaways:

Nostalgia in the time of COVID: The episode begins with a discussion about seeking comfort in nostalgia during challenging times, particularly revisiting the 80s.
The Time Machine Question: The hosts contemplate what advice they would give themselves if they could travel back to January 2020, knowing what they know now about the COVID-19 pandemic.
Silver Linings: Despite the difficulties of 2020, the hosts share unexpected positive outcomes that emerged from the COVID era.
Facial Trauma and Reconstruction: Mark and Brad recount their experiences with facial trauma, detailing their accidents, surgeries, and the long road to recovery.
Impact on Dentistry: Both dentists discuss how their personal experiences with dental trauma and reconstruction have influenced their approach to patient care, emphasizing empathy and understanding.

Some links from the show:

Zirc Dental Products Color Method

Go Hack Yourself:

Jason: Duncan Trussell on Joe Rogan Mark: mergers with the selling dentist holding paper (banks aren't lending, yo)

Brad: Crossfit

Alan: "Harley Quinn" season 2

Join the Very Dental Facebook group using the password "Timmerman," Hornbrook" or "McWethy," "Papa Randy" or "Lipscomb!"

Alan Mead Experience: Clean and Sober (and Still Learning) Jan 13, 2025

Show notes

Alan reflects on his 23 years of sobriety, discussing the ongoing challenges of addiction and emotional reactivity. He also shares updates on the podcast, including plans for video content, a possible "hot takes" series, revisiting classic episodes, and recording at the Chicago Midwinter Meeting.

Key Takeaways:

Recovery is a journey, not a destination. Even after 23 years, Alan emphasizes that he still has work to do in managing his addictive personality and emotional reactions.
Addiction is not just about drugs and alcohol. It's about how the brain processes emotions and reacts to situations. Alan shares how his addictive tendencies have manifested in other areas of his life, like exercise and baking.
Emotional reactivity can be a challenge. Alan discusses his struggles with being emotionally reactive and how he's working on managing his reactions through Stoicism, meditation, and exercise.
The importance of community and support. Alan highlights his Facebook group, Dentists That Don't, as a space for dental professionals to connect and discuss sobriety.
Podcast updates. Alan announces plans for video content, a "hot takes" series debunking dental myths, re-releasing classic episodes, and recording at the Chicago Midwinter Meeting.

Some links from the show:

Dentists that Don't Facebook group
Al's email

Join the Very Dental Facebook group using the password "Timmerman," Hornbrook" or "McWethy," "Papa Randy" or "Lipscomb!"

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